A client is prescribed fentanyl citrate IV for moderate pain. The ...

[penza]

A client is prescribed fentanyl citrate IV for moderate pain. The recommended dose is 2-20 mcg/kg/dose. What is the maximum dose for this client that weighs 110 pounds?
 
  a. 1110 mcg c. 1000 mcg/kg
  b. 1 mg d. 1 mcg

Question 2

The nurse has medicated a three-day postoperative client with oxycodone. After documenting the medication administration, the nurse should plan to:
 
  a. reassess the client in 2 hours c. reassess the client in 10 minutes
  b. reassess the client in 45 minutes d. assess the client's vital signs

[InfiniteSteez]

Answer to Question 1

ANS: B

Feedback
A Incorrect: This dose exceeds the recommended dose.
B Correct: Divide 110 pounds by 2.2 = 50 kg X 20 mcg = 1000 mcg or 1 mg.
C Incorrect: The dose should be in mcg or mg not mcg/kg; you can develop a new recommended dose.
D Incorrect: This dose is too small.

Answer to Question 2

ANS: B

Feedback
A Incorrect: This time interval is too long.
B Correct: After oral administration, the client should be reassessed in 30-45 minutes.
C Incorrect: The medication has not reached systemic circulation this quickly.
D Incorrect: There is nothing in the scenario to indicate that the client needs to have vital signs checked at this point.

[penza]

Thank you!

[InfiniteSteez]

Always glad to help...